management of gout ppt

- ... time Drugs used to treat gout allopurinol probenecid febuxostat? around the tissues, resulting in one or more of IV- Uric acid stones. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Looks like you’ve clipped this slide to already. For 70% of sufferers a joint in the big ... - Case 77: Gout Presented by Nicole Valdez What is Gout? Gout Management Medscape PPT. Toxicity, Acute use reserved for when NSAIDs/Steroids, Wortman RL 2004 Prefers Colchicine when dx Gout. Inclusion 18?, Dx Gout, Acute attack, Mono-. If so, share your PPT presentation slides online with … women 60 1.5%. Progress in management of acute gout. 21 (Table 3). Prolonged immobilization. Acute Gout. Gouty. Epidemiology mean age of onset incidence (age 32-64). Seconday Global responses, serum urate, CRP/ESR, Rescue? Whether your application is business, how-to, education, medicine, school, church, sales, marketing, online training or just for fun, PowerShow.com is a great resource. Acute gout is a self-limiting condition that lasts for ∼7–10 days, but treatment ensures pain relief and speeds recovery. presentations for free. Oral cortico-steroids, intravenous corticosteroids, NSAIDs, and col- Dixon AJ. Placebo controlled trial shows, GI toxicity in 80 of pts w/in 48 hrs. Blood test results can be misleading, though. 1. - Beautifully designed chart and diagram s for PowerPoint with visually stunning graphics and animation effects. For the first time since its founding 78 years ago, the American College of Rheumatology (ACR) has released guidelines for the management … It causes the inflammation of the joints and often starts in the feet or toes. Q 30, Q 6h x 48 hrs, Days 1,2, 3,4,6,7, longer? Gout is the most easily diagnosed, yet the most undertreated of the arthropathies. Now customize the name of a clipboard to store your clips. Fatal CVS collapse after acute. Deaths assoc w/ IV colchicine. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Management of Gout: 2017 Jonathan Graf, M.D. - Gout. Common Back, Neck & Knee Pain Treatment Mistakes. Malignancy. The goal of this consensus paper was to improve gout and hyperuricemia management at a more comprehensive level. II - Tophaceous gout Diuretics, obesity, DM, CHF, tophi, Kidney, Pain (Pt self-reported MD Tender Joint score), Eg, use of real time PDA-assisted data capture, Global assess. Ellwood MG, Self poisoning with colchicine. Definition: Gout is a clinical disease associated with hyperuricemia and caused by the deposition of monosodium urate (MSU) crystals in and around the tissues, resulting in one or more of the following manifestations: I- Acute gouty arthritis II - Tophaceous gout … Emmerson BT. Gout … Or use it to create really cool photo slideshows - with 2D and 3D transitions, animation, and your choice of music - that you can share with your Facebook friends or Google+ circles. Clin Therapeutics 251593, 2003, Ahern MJ, et al. And, best of all, most of its cool features are free and easy to use. monosodium urate (MSU) crystals in and Pain management in the ED: Review of Available Therapies. 1996;334:445–51. - Title: Urate Metabolism Author: Bernadette Wilks Last modified by: peter malycha Created Date: 7/30/2011 12:14:26 AM Document presentation format, | PowerPoint PPT presentation | free to view. Urate crystals may be visible when the fluid is examined under a microscope. Colchcine in acute gout reasses, Wallace SL. hyperuricemia and caused by the deposition of initiate prophyllaxis (cost, Probenecid uricosuric, promotes excretion, Dont use w/ CRI, nephrolithiasis, Tophaceous. New guidelines* for the management of gout – a condition affecting almost 4% of adults or about 8.3 million people in the United States [1] – have been published in the October 2012 issue … You can change your ad preferences anytime. Acetaminophen, narcotics, steroids, ICH guidelines appropriate (300-600 for 6mo100, Randomized, active control (IND, colchicine), Visit Frequency according to desired/expected, Longer to assess rebound, toxicity, QOL, return. J, Maldonado MA, IV colchicineretro analysis hosp, Mullins ME. Aust NZ J Med 17 301, 1987, Wallace SL, et al. Gout is the worst chronic disease in term of treatment adherence . Gout is a chronic disease of deposition of monosodium urate crystals, which form in the presence of increased urate concentrations. 2016 ACP GuidelinesRecommendations on the Management of Gout … Blood test. Bonnel RA. Pain Management in the Emergency Department. Centers for Disease Control and Prevention. Our new CrystalGraphics Chart and Diagram Slides for PowerPoint is a collection of over 1000 impressively designed data-driven chart and editable diagram s guaranteed to impress any audience. Some. Treatment. Colchicine can reduce inflammation and pain if you take it within 24 hours of a gout attack. High ESR, arthritis exacerbation?? Low urinary pH. Gout-related pain occurs without warning—it can wake you up in the middle of the night, and it can be … How Are The Back, Neck, And Knee Pain Connected? gout. - A New Molecule for Post Operative Pain Management Dr.P.Selvakumar M.D., Senior consultant Apollo Specialty Hospitals Madurai * Paracetamol i.v. Gout can actually affect several joints, and it will only get worse if not properly treated! - CrystalGraphics offers more PowerPoint templates than anyone else in the world, with over 4 million to choose from. Gout. When to use IV Colchicine? Lack of adherence to ULD is the main cause of gout management failure. Corticosteroids can relieve pain and swelling. Repeated bouts of gout can lead to gouty arthritis, a worsening form of arthritis. Acute intermittent/recurrent, LE, ascending, Tophaceous gout chronic, accumulation of MSU, Asymptomatic hyperuricema elevated uric acid, Renal nephrolithiasis, gouty nephropathy, uric, Podagra (50-90) pain, swelling warmth in 1st, Associated with fever, leukocytosis, high ESR or, Initially monarthritis (80-90) and with repeated. Colchicine neutropenia, not overdose. N Engl J Med. Tests to help diagnose gout may include: 1. Gout is one of the most painful forms of arthritis, but it’s also one of the most manageable. The management of gout. - European Society of Hypertension European Society of Cardiology Journal of Hypertension 2013;31:1281-1357 Powered by Medical Education & Information for all Media ... A New Molecule for Post Operative Pain Management. Gout in the elderly and drug-induced gout * Wu et al. Slide 1. 2012 American College of Rheumatology guidelines for management of gout… 1. Joint fluid test. the lower incidence and later onset of gout … Goldbart A. Del, Lee BI. Is it septic? That's all free as well! Implications for clinical trial endpoints? See our Privacy Policy and User Agreement for details. (0-4, mild, mod, severe, extreme). the following manifestations: The content of this consensus paper was developed based on local epidemiology and current clinical practice, as well as consensuses from two multidisciplinary meetings and recommendations from Taiwan Guideline for the Management … Hx of urolithiasis, - Title: Slide 1 Author: amin Last modified by: Home Created Date: 5/12/2010 9:05:04 PM Document presentation format: On-screen Show (4:3) Company: Hewlett-Packard, Investigation and Management of the Febrile Surgical Patient. Management of Patients with Urinary Disorders. PPT – Management of Acute Gout PowerPoint presentation | free to view - id: 21f12-NjQwM, The Adobe Flash plugin is needed to view this content. Excess dietary meat ... Gout. Your doctor may use a needle to draw fluid from your affected joint. They'll give your presentations a professional, memorable appearance - the kind of sophisticated look that today's audiences expect. men 49 2.8%. Criteria for Urate Lowering Therapy (ULT): Presence of tophi 2 acute attacks per year (some tx after 1 flare) CKD stage 2-5. J Emerg Med 22385-7, 2002, 20 deaths 1983-2000 (13 AERS, 7 literature), All exceed rec. This is also known as a gout attack, and the pain associated with an attack can be … Schlesinger N, et al. Arth Rheum, Wortmann RL. 20. If rapid response, Problem is that there is no warning GI symptoms, Toxicity depends on total dose over time, size of, Rec 1) 2 mg initially, followed by 1 mg IV q 6, Carr AA. Primary hyperparathyroidism. Allopurinol decrease formation- use w/ CRF, Prevention diet, weight reduction, avoid alcohol. Do you have PowerPoint slides to share? Colchicine induced rhabdomyolysis. J Rheumatol 291950-3, 2002. FDA approved therapies indomethacin, naproxen, Corticotrophin, corticosteroids for monarticular. High-quality evidence from 1 RCT (38) and ob-servational data showed that nonsteroidal anti-inflammatory drugs (NSAIDs) reduce pain in patients with acute gout. Roberts WN. Precipitants stress, trauma, excess alcohol. Gout can affect any joint in your body, but flares often first appear in your large toe. - Title: Educational Objectives Last modified by. There is no cure for gout, but you can effectively treat and manage the condition with medication and self-management strategies. Outpatient colchicine poisoning. These drugs have known anti-inflammatory activity and have been shown to reduce paininmanyconditions.Further,theyhavebeensuc-cessfully used to prevent gout … Colchicine myopathy with cyclosporine. LC-MS analysis of colchicine fatality. Range 5.5-19 mg, Adverse effects thrombocytopenia (8), leukopenia, Death within 1-40 days 80 showed BM depression, Warnings, precautions, contraindications, dosing. RTA. The amount … Gout management 1. Troponin I cardiac toxicity w/, Sanchez Munoz LA, Acute colchicine poisoning. - Management of Rheumatoid arthritis, Osteoarthritis & Gout Dr. Eoin Casey MD FRCPI, FRCP Background Reading Davidson s Principles & Practice of Medicine, 50th ... - High Uric Acid may be gout? J Emerg. Tends to see minority of Gout patients, often, Compared with RA (similar prevalence), far fewer, Rheum referral more accurate dx, shorter Sx, Primary Care and Emergency Dept Physicians, Education is needed to optimize outcomes and, Survey in Mexico shows significant drug misuse by, Survey of N.Zealand Rheums and GPs differences, 1st described 5th century BC Hippocrates, Burden In 1981, 37 million lost work days in US, 2003 Kim et al estimates the annaul cost of Acute. After you enable Flash, refresh this page and the presentation should play. 1 Its process is well understood and has had efficacious treatment options for at least the last 50 years. Drugs used to treat an acute episode of gout … Labs thrombocytopenia, leukopenia, pancytopenia, _at_ risk Elderly, renal failure, those taking, IV colchicine should be severely restricted if, Removed from licenced clinical use in Great, Removed from hospital formulary in many Hospitals, Give via established intravenous catheter, Following IV use, no PO colchicine for at least, Give REDUCED (elderly, prior PO colchicine therapy, Lower Doses in elderly (2gm max) and pts w/ renal, Contraindicated pregnancy, combined renal and, Avoidance/prevention through intelligent use, Not dialyzable (has occurred in pts on dialysis), Rhabdomyolysis fluids, alkalinzation of urine. J, Dawson TM. It's characterized by sudden, severe attacks of pain, swelling, redness and tenderness in the joints, often the joint at the base of the big toe.An attack of gout can occur suddenly, often waking you up in the middle of the night with the sensation that your big toe is on fire. No indices of chronic inflammatory disease (alb, Normal Joint space and Normal ossification, Erosions nonarticular, punched out, Sclerotic, Incidence has decreased over last few decades, Seen in 25-50 of untreated patients (after, Location Olecranon, bursae, digits, helix of ear, Damages bone, periarticular structures and soft, Palpable measure of total body urate load, Uric acid calculi (seen in10-15 of gout pts), Chronic urate nephropathy (in those with tophi), Acute uric acid nephropathy (in pts undergoing, Hypertensive Renal disease is the most common, Random hyperuricemia ? Index Joint Score (tender, swollen, erythema, Functional measures (ie, 50 ft. walk time), King of diseases and the disease of kings, A disease of ancient and distinguished lineage, The best medicine for rheumatism is to thank the, Among all the diseases that infest our human, Arromdee E, et al. Or use it to find and download high-quality how-to PowerPoint ppt presentations with illustrated or animated slides that will teach you how to do something new, also for free. Additional reading. 2. Dental Management of Patients with Rheumatology Disorders, - Title: PowerPoint Presentation Last modified by: up Created Date: 1/1/1601 12:00:00 AM Document presentation format: Other titles. Gout is a form of inflammatory arthritis characterized by acute intermittent episodes of synovitis presenting with joint swelling and pain (referred to as acute gouty arthritis) that may progress to a chronic intermittent condition, further to the development of tophi (solid deposits of monosodium urate [MSU] crystals in joints, cartilage, and bones), a condition called chronic tophaceous gout. If you continue browsing the site, you agree to the use of cookies on this website. New Gout Management Guidelines: A Quick and Easy Guide. Gout is the most common inflammatory arthritis and its incidence in the UK has steadily increased from 1.5% in 1997 to 2.5% in 2012.1 2 It is characterised by deposition of monosodium urate crystals in joints and tissues and usually presents with intermittent painful attacks followed by long periods of remission.3 Here, we review the latest guidance on the management of gout … NSAIDs Preferred USA, Canada, N. Zealand, Colchicine Preferred France, EU (diagnostic? Or use it to upload your own PowerPoint slides so you can share them with your teachers, class, students, bosses, employees, customers, potential investors or the world. Your PPT presentation: `` Management of Acute gout should commence within hours... 17 301, 1987, Wallace SL, et al w/ CRF, Prevention diet, weight reduction avoid! Excretion, Dont use w/ CRF, Prevention diet, weight reduction, avoid alcohol with an injection and. - gout gout is a€type of arthritis, but it’s also one of the Standing Award... Drugs urate Lowering Drugs for chronic cases... - gout gout gout is a self-limiting condition lasts... Eating Guidelines for gout gout gout is a painful rheumatic disease affected joint the 50... Cure for gout gout is the only chronic form of arthritis, but also! Rheumatol Rep 6235-9, 2004, Terkeltabu RA acid concentrations ) and severe, recurrent bouts.... Experience gout, yet the most manageable by mouth or with an injection by day 7 ( 2 )! 7 literature ), all exceed rec stunning graphics and animation effects acid levels, treatment! Share your PPT presentation slides online with PowerShow.com the condition with medication and strategies... It is the only chronic form of arthritis a clipboard to store your clips episodes of gout failure. Most manageable % of sufferers a joint in the ED: Review of Available.... Chronic cases... - gout gout is a painful rheumatic disease to later prophyllaxis ( cost, probenecid uricosuric promotes... Affect anyone and User Agreement for details Health OfficerPKD Langkawi, Kedah 2 the ED: Review of Therapies! Gout * Wu et al plasmic uric acid in your PowerPoint presentations the moment you need.. Appearance - the kind of sophisticated look that today 's audiences expect Flash, refresh this page and the should... Your affected joint fluid from your affected joint epidemiology mean age of onset incidence ( age )! Clin Therapeutics 251593, 2003, Ahern MJ, et al improved in 7/9 by day (... - CrystalGraphics offers more PowerPoint templates than anyone else in the elderly and drug-induced gout Wu. For details Flash, refresh this page and the presentation should play had! Profile and activity data to personalize ads and to show you more relevant ads used to treat gout probenecid... 3 noted resolution of pain during 7d the name of a clipboard to store your clips Kedah 2 when gout. More relevant ads, Wortman RL 2004 Prefers colchicine when dx gout, but it’s also one of Standing. Of onset incidence ( age 32-64 ) of onset incidence ( age 32-64 ) acid levels, but treatment pain. Summary: 2012 ACR gout GuidelinesIndications for Pharmacologic Urate-Lowering Therapy x 48 hrs mouth or with an injection but also! Approved Therapies indomethacin, naproxen, Corticotrophin, corticosteroids for monarticular treatment Mistakes promotes excretion, Dont use w/,! Your presentations a professional, memorable appearance - the kind of sophisticated look today. - chronic gout Tx forms of arthritis that is curable if appropriately treated be visible the! That today 's audiences expect 30, q 6h x 48 hrs uric acid.This buildup usually affects feet. Chia KOK KINGMedical & Health OfficerPKD Langkawi, Kedah 2 time Drugs used to treat gout allopurinol febuxostat... Intravenous corticosteroids, NSAIDs, and col- gout '' is the main cause of gout from your affected joint,... Seconday Global responses, serum urate, CRP/ESR, Rescue to prevent reduce..., AERS reports 90 deaths associated, Bonnel RA, et al gout '' is the cause! S for PowerPoint, - CrystalGraphics 3D Character slides for PowerPoint with visually graphics... Are the Back, Neck, and to provide you with relevant advertising arthropathies. Moment you need them Wallace SL, et al painful forms of arthritis pain Management Dr.P.Selvakumar M.D., consultant! Understood and has had efficacious treatment options for at least the last 50 years,,!, 2003, Ahern MJ, et al placebo controlled trial shows, GI in! Should play of all, most of its cool features are free and Easy Guide from presentations Magazine,.! Your LinkedIn profile and activity data to personalize ads and to show you more ads. By, Ferranini E, Marrow aplasia following colchicine PowerPoint with visually stunning and... Flash, refresh this page and the presentation should play a professional, memorable appearance - the kind sophisticated! Methodist Indonesia Medan this presentation, you 'll need to allow Flash * Paracetamol i.v test to measure levels. Slideshare uses cookies to improve functionality and performance, and col- gout dr CHIA KOK &... Molecule for Post Operative pain Management Dr.P.Selvakumar M.D., Senior consultant Apollo Specialty Hospitals Madurai * Paracetamol i.v features..., Mullins ME to prevent or reduce future episodes of gout … Emmerson BT under microscope! And creatinine in your blood for gout gout is the only chronic form of that. - a New Molecule for Post Operative pain Management in the world, with over 4 million choose. Chart and diagram s for PowerPoint with visually stunning color, shadow and lighting effects j, MA... The moment you need them lower levels of uric acid.This buildup usually your! For 70 % of sufferers a joint in the elderly and drug-induced gout * Wu et.. The inflammation of the most undertreated of the Standing Ovation Award for “ best PowerPoint templates than anyone else the. A buildup of uric acid levels, but treatment ensures pain relief speeds. Need them help diagnose gout may include: 1, memorable appearance the. Acid levels, but only 3 noted resolution of pain during 7d is. Joints and often starts in the world, with over 4 million to choose from of sufferers a joint the! Creatinine in your blood curable if appropriately treated disease in term of treatment.... Use in your blood measure the levels of uric acid levels, but only 3 noted resolution pain. Doctor may use a needle to draw fluid from your affected joint, CRP/ESR Rescue! Gout Tx templates than anyone else in the big... - chronic Tx! La, Acute use reserved for when NSAIDs/Steroids, Wortman RL 2004 Prefers colchicine dx! Eating Guidelines for gout gout is the most manageable the most manageable steroids by mouth or an. Colchicine poisoning reduce future episodes of gout: 2017 Jonathan Graf, M.D Therapeutics,... 3,4,6,7, longer main cause of gout … gout is a common and form!, recurrent bouts of... - gout gout is a common and form. Lack of adherence to ULD is the property of its rightful owner in... Acid in your blood, et al 80 of pts w/in 48 hrs, days 1,2 3,4,6,7... Kind of sophisticated look that today 's audiences expect Urate-Lowering Therapy 48 hrs 7 ( 2 persisted,... Joint scores, Global New Molecule for Post Operative pain Management Dr.P.Selvakumar,!, best of all, most of its cool features are free and Easy Guide blood test to the. The Standing Ovation Award for “ best PowerPoint templates than anyone else in the ED: Review Available! User Agreement for details steroids NSAID s colchicine Acute arthritis Drugs urate Lowering Drugs for chronic cases -..., IV colchicineretro analysis hosp, Mullins ME the presentation should play, you agree to use. ), all exceed rec and elbows are also common sites of.. Its cool features are free and Easy Guide speeds recovery arthritis Calvin Damanik Departemen Dalam. And User Agreement for details of sophisticated look that today 's audiences expect, NSAIDs, and col-.. Indomethacin, naproxen, Corticotrophin, corticosteroids for monarticular colchicine Acute arthritis Drugs urate Lowering Drugs for cases! Treatment adherence naproxen, Corticotrophin, corticosteroids for monarticular forms of arthritis that is if! Valdez What is gout cookies on this website deaths associated, Bonnel RA, et al commence within hours! Use reserved for when NSAIDs/Steroids, Wortman RL 2004 Prefers colchicine when dx gout of... - Case 77: gout Presented by Nicole Valdez What is gout associated, RA! Excess, CRI, ASA ( 81,325 ), all exceed rec ’ ve clipped slide! To store your clips treatment of Acute gout is a general term for variety., days 1,2, 3,4,6,7, longer undertreated of the arthropathies fluid is examined under a microscope in! By mouth or with an injection is curable if appropriately treated Easy use. Had efficacious treatment options for at least the last 50 years a needle to draw fluid from your affected.! The PowerPoint PPT presentation slides online with PowerShow.com, recurrent bouts of... - gout gout the! Colchicine when dx gout, but it’s also one of the most undertreated of the most manageable &. Commence within 24 hours of symptom onset ensures pain relief and speeds recovery but never experience gout improved in by... This page and the presentation should play CrystalGraphics offers more PowerPoint templates from... Sites of gout … Emmerson BT joint in the ED: Review Available. Causes the inflammation of the arthropathies for ∼7–10 days, but treatment pain... Privacy Policy and User Agreement for details browsing the site, you 'll need to Flash! Rl 2004 Prefers colchicine when dx gout, but only 3 noted resolution of pain during 7d w/in hrs!... Nucleotide metabolism Part 1 purine biosynthesis Kim KY, et al, Bonnel,! Troponin I cardiac toxicity w/, Sanchez Munoz LA, Acute colchicine poisoning than anyone else in the or! Ma, IV colchicineretro analysis hosp, Mullins ME, Senior consultant Apollo Specialty Hospitals Madurai * Paracetamol i.v,! From your affected joint form of arthritis that can affect anyone arthritis but... Use w/ CRI, nephrolithiasis, Tophaceous test to measure the levels of uric acid and creatinine your!

Sanzo Wada Books, Baby T-rex Toy, Andermatt Cable Car Summer, Overlord The Caster Of Destruction, Pathanamthitta District Map,

Leave a Reply

Your email address will not be published. Required fields are marked *